Occupational Hazard Insurance vs Workers Compensation
- Author :
- TATA AIG Team
- ●
- Last Updated On :
- 24/03/2025
- ●
- 2 min read
Accidents are inevitable and can happen to anyone at any time. However, if you are working in an industry that is significantly more hazardous than other jobs, then safety becomes a necessity. Employees like firefighters, construction workers, chemical engineers, miners, etc., are at high risk of hazardous incidents due to the nature of their occupations. That is why such employees need occupational hazard insurance to ensure their safety while working.
When looking into this type of policy, you’ll find the terms worker’s compensation and occupational hazard insurance are often used interchangeably. However, there is a significant difference between the two. Through this article, you can understand the difference between occupational accident vs worker’s compensation and choose whichever suits your requirements.
What is Occupational Hazard Insurance?
Occupational hazard insurance is a broader policy that includes various types of insurance related to occupational risks. It is predominantly for independent contractors and employees who are not covered under the traditional compensation policy for workmen. Occupational hazard insurance is also more flexible than worker’s compensation, with specific limitations and conditions.
This policy was introduced to provide coverage for high-risk occupations, as it is challenging to obtain life insurance for such occupations. That is why insurance providers provide this as a combination of life cover and occupation hazard cover.
What is Workmen Compensation Insurance?
Workmen's compensation insurance is a government-mandated policy that provides essential coverage to employees who suffered work-related injuries and illnesses. It is a no-fault system that provides compensation regardless of who is at fault for the injuries or illnesses resulting from workplace hazards.
That is why this policy benefits every employee by providing protection and financial assistance during difficult hours. Moreover, it provides them with peace of mind while they work in an organisation and give their best.
Also Read: Key Features of Workmen Compensation Policy Explained
Occupational Hazard Insurance Vs Workers Compensation Insurance
Basis | Occupational Risk Insurance | Workmen Compensation Policy |
---|---|---|
Definition | Occupational hazard insurance is a broader term that covers occupational risks and hazards related to specific occupations. | It is an insurance that provides financial assistance to employees who suffer work-related injuries or illnesses. |
Eligibility Criteria | This insurance provides coverage to non-covered workers, self-employed individuals, owner-operators and independent contractors. | Worker’s compensation insurance providers cover full-time employees, part-time employees, regular workers and seasonal employees (mostly). |
Coverage Limits | Occupational hazard insurance has defined coverage periods and variable cover based on premium cost. | It provides comprehensive cover with no monetary limits and includes guaranteed benefits based on state laws. |
Fault and Negligence Clause | Occupational hazards sometimes use fault to find out whether someone should be approved for coverage and its amount. | Worker’s compensation is no-fault insurance that provides financial cover to employees regardless of whether accidents or injuries were their fault. |
Insurance Need | Occupational hazard insurance might highlight coverage for particular occupational risks that are not covered by standard worker’s compensation. | Employers must have their employees protect themselves and the employees from claims arising due to work-related injuries and illnesses. |
Insurance Cost | It has flexible premium coverage and is paid by an independent contractor. | Workers' compensation policy has regulated rates, the cost of which is borne by the employers. |
Policy Type | Occupational hazard policy is written on a group basis and group size is based on industry. | It is one policy for the entire company. |
Also Read: Worker’s Compensation (WC) Vs. Employee State Insurance
Benefits of Occupational Hazard Insurance
Medical Expenses
Occupational hazard insurance primarily covers medical expenses incurred due to hazardous incidents. It covers emergency medical treatment, surgical procedures, follow-up care, hospital stays, rehabilitation procedure costs and prescribed medicines. However, it should be noted that independent contractors who opted for the policy have to pay copayments or deductibles.
Also Read: Medical Reimbursement for Employees: Benefits and Best Practices
Accidental Death and Dismemberment
Similar to the workmen's compensation policy, occupational hazard insurance provides death benefits to the independent family members of the deceased employee. It also includes compensation for employees who lose limb(s) or bodily function. But remember that the compensation amount varies depending on the injury, loss and policy limits.
Disability Benefits
Coverage is also provided for employees who are disabled due to any hazardous incident during employment. This policy helps replace employees’ lost income due to disability, but it is quite different from the workers' compensation policy.
Occupational hazard insurance provides coverage and payments for long-term and short-term disability. However, there is a long waiting period to get the coverage amount, and even then, it is capped at certain amounts.
Also Read: How Does Workmen Compensation Injury Settlement Work?
Benefits of Workmen Compensation Insurance
Medical Expenses
A workmen’s compensation policy covers medical services such as doctor’s appointments, hospitalisations, emergency room visits, specialist consultations, and physical and rehabilitation therapy services. It helps employees return to their routines and workforce.
Vocational Rehabilitation
Employee injuries sometimes leave them with permanent or partial disability. In such cases, the workmen's compensation policy is quite beneficial, providing them with necessary vocational rehabilitation. It includes expense coverage for searching for new career paths, job assistance, enrolling in job retention programs, career counselling and resume and interview preparation. This way, employees can find new ways to earn their livelihood and support themselves and their families financially.
Lost Wages Compensation
Worker’s compensation insurance also provides compensation benefits to employees for their lost wages during their injury. Compensation is provided based on the type of injury. Temporary total disability compensation is for those who cannot return to the workforce; temporary partial disability is for those who have reduced work hours or light duty.
Similarly, permanent partial disability compensation is for lasting disabilities and permanent total disability is for long-term who are unable to work.
Death Benefits
Workmen's compensation insurance also covers an employee’s demise due to work-related injuries or illness. In such cases, the compensation provided helps the employee’s family cover funeral expenses and pending medical bills, provides financial support to living dependents and provides educational assistance for dependent children of employees.
Summing Up
Occupational hazard insurance and worker’s compensation insurance are both created to protect and improve the welfare of employees working in various sectors. Employers are entirely responsible for choosing between the two. The information provided here can help employers better understand occupational hazards and workers' compensation. Then, they can decide which SME insurance policy to purchase for their organisation.
However, before buying any policy, make sure to check the insurer’s reviews and their policy features. You can compare workmen's compensation policy online and select a trusted policy provider. For example, TATA AIG workmen's compensation insurance policies provide financial support to employees and help foster a safer work environment for employees.
Frequently Asked Questions
Is a WC policy mandatory in India?
Yes, the workmen's compensation policy is a mandatory policy that every employer must provide to their employees, as per the Workmen Compensation Act of 1923..
What is a risk in insurance?
Risk in insurance is simply the probability that an event will result in a loss. Insurance companies use risk to determine insurance premium rates and whether or not to pay a claim.
What are the four types of occupational hazards?
The four categories of occupational health hazards are chemical, biological, ergonomic, and physical.
What is a worker's compensation insurance example?
An example of a worker’s compensation policy is: suppose a delivery person working for a courier company injures his leg while unloading a delivery. The injured leg causes him to limp and causes him back pain due to limp walking. The worker’s insurance will provide coverage for the treatment of back pain caused by leg injury.
Disclaimer / TnC
Your policy is subjected to terms and conditions & inclusions and exclusions mentioned in your policy wording. Please go through the documents carefully.
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